| NPI | 1467658062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301092713) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A121145) |
| 207WX0009X Ophthalmology, Glaucoma Specialist (Licence: MI 4301092713) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-11-20 |